Forms & Insurance

15-02-2010 by Staff

 

Forms

ALL PATIENT FORMS

HIPAA ACKNOWLEDGEMENT & CONSENT

MEDICAL HISTORY 2020

MEDICAL OR ROUTINE

NEW PATIENT FORM 2020

REFRACTION & CL POLICY 2020

Insurance

While our office participates with most major insurances, it is important to verify our participation with your particular plan when you schedule an appointment.

Please bring your insurance card and driver’s license with you on the day of your appointment.

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Contact Us

Richard Manganiello, MD
479 Buckland Rd
South Windsor, CT 06074
860-644-5011